tci General Surgery Coding Alert - 2022 Issue Q1

Reader Questions: Capture US Guidance with Arterial Catheterization

Question: Our surgeon performed a percutaneous arterial catheterization for a transfusion using ultrasound guidance. How should we code this? Maine Subscriber Answer: You should report the arterial catheterization as 36620 (Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous). If the surgeon documents using the ultrasound (US) for real-time guidance of passing the catheter into the artery, you should additionally report the US guidance add-on code +76937 (Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and...

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